NPIMap

Organization Active NPI

Family Dental Associates LLC

Doing business as Family Dental Associates

  • Dentist
  • Haverhill, MA
National Provider Identifier
1134256670
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14926 Issued in MA
Legal business name
FAMILY DENTAL ASSOCIATES LLC
Doing business as
Family Dental Associates
Practice address
180 Merrimack St
Haverhill, MA 01830-6128
Phone
(978) 521-3322
Fax
(978) 521-3988
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. May Mu, DMD
Title
President
Phone
(978) 521-3322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 14926 MA Primary

Addresses

Primary practice location

180 Merrimack St
Haverhill, MA 01830-6128

Mailing address

180 Merrimack St
Haverhill, MA 01830-6128
Phone (978) 521-3322

Other names 1

  • Family Dental Associates Doing business as

National Provider Directory

National Provider Directory

Locations

180 Merrimack St
Haverhill, MA 01830
Phone (978) 521-3322

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134256670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 MERRIMACK ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306128",
            "telephone_number": "978-521-3322",
            "fax_number": "978-521-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MERRIMACK ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306128",
            "telephone_number": "978-521-3322",
            "fax_number": "978-521-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MU",
        "authorized_official_first_name": "MAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-521-3322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "14926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Haverhill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.